Affordable Access

Access to the full text

Increasing the options for reducing adverse events: Results from a modified Delphi technique

Authors
  • Richardson, Jeff1
  • McKie, John1
  • 1 Monash University, Centre for Health Economics, Faculty of Business and Economics, Clayton, Victoria, 3800, Australia , Clayton
Type
Published Article
Journal
Australia and New Zealand Health Policy
Publisher
BioMed Central
Publication Date
Nov 14, 2008
Volume
5
Issue
1
Identifiers
DOI: 10.1186/1743-8462-5-25
Source
Springer Nature
Keywords
License
Green

Abstract

BackgroundThe aim of this paper is to illustrate a simple method for increasing the range of possible options for reducing adverse events in Australian hospitals, which could have been, but was not, adopted in the wake of the landmark 1995 'Quality in Australian Health Care' study, and to report the suggestions and the estimated lapse time before they would impact upon mortality and morbidity.MethodThe study used a modified Delphi technique that first elicited options for reducing adverse events from an invited panel selected on the basis of their knowledge of the area of adverse events and quality assurance. Initial suggestions were collated and returned to them for re-consideration and comment.ResultsCompleted responses from both stages were obtained from 20 of those initially approached. Forty-one options for reducing AEs were identified with an average lapse time of 3.5 years. Hospital regulation had the least delay (2.4 years) and out of hospital information the greatest (6.4 years).ConclusionFollowing identification of the magnitude of the problem of adverse events in the 'Quality in Australian Health Care' study a more rapid and broad ranging response was possible than occurred. Apparently viable options for reducing adverse events and associated mortality and morbidity remain unexploited.

Report this publication

Statistics

Seen <100 times